F40.01
F40.01: Agoraphobia with panic disorder
Billable / specific codeICD-10-CM
F40.01 is a billable, specific ICD-10-CM code for agoraphobia with panic disorder. It is valid for submission on a claim.
Check F40.01 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- panic disorder without agoraphobia (F41.0)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Panic disorder with agoraphobia
Other codes that can never be billed with F40.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F41.0Panic disorder [episodic paroxysmal anxiety]
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F40.01 is named in 19 Medicare coverage policies: 18 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56756Billing and Coding: Home Health - Psychiatric Care
- A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
Alphabetic index entries that lead here
- Agoraphobia›with panic disorder
- Disorder›panic›with agoraphobia
Code history
Unchanged in every release from FY2024 to FY2027.